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Gepubliceerd in: Netherlands Heart Journal 5/2007

01-05-2007 | original article

Emergency cardiac surgery after a failed percutaneous coronary intervention in an interventional centre without on-site cardiac surgery

Auteurs: J. S. Lemkes, J. O. J. Peels, R. Huybregts, H. de Swart, R. Hautvast, V. A. W. M. Umans

Gepubliceerd in: Netherlands Heart Journal | Uitgave 5/2007

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Abstract

Background. Based on experience from other countries, the Medical Centre Alkmaar was granted permission to start the first Dutch PCI programme without on-site cardiac surgery. The cardiology group of the Medical Centre Alkmaar started an off-site PCI programme in 2002 with only primary PCI in the first year and a full PCI programme from November 2003 onwards. We report the first Dutch experience with acute cardiac surgery following a failed PCI procedure in an off-site clinic.
Patients. From October 2002 until February 2007, 2500 patients were treated by PCI in the Medical Centre Alkmaar. These patients were treated for an acute myocardial infarction (33%), acute coronary syndromes (37%) or progressive angina (30%). In this first series of off-site PCI in the Netherlands, the incidence of emergency cardiac surgery following failed PCI was 0.2% All five patients who needed emergency surgery underwent elective PCI for progressive stable coronary artery disease. No emergency surgery was needed for primary PCIs in patients with an acute myocardial infarction. All patients survived emergency surgery following failed PCI.
Conclusion. Adherence to the Dutch guidelines of interventional cardiology with protocols describing a close collaboration with cardiac surgeons and an immediate availability of rapid ground transportation are mandatory when performing off-site PCI. This series extends the current expertise of emergency surgery after failed PCI to off-site clinics. With appropriate settings, off-site PCI may not be associated with an increase in the risk of adverse events. (Neth Heart J 2007;15:173-7.)
Literatuur
go back to reference Umans V, Serruys PW, van den Brand M, Haalebos M. Surgical revascularization following unsuccessful percutaneous transluminal coronary angioplasty. Eur Heart J 1984: 5(suppl I);384. Umans V, Serruys PW, van den Brand M, Haalebos M. Surgical revascularization following unsuccessful percutaneous transluminal coronary angioplasty. Eur Heart J 1984: 5(suppl I);384.
go back to reference Geuskens R, Umans VA, de Feyter P, van den Brand M, Haalebos M, Serruys PW. Coronaire bypass-chirurgie na een niet-geslaagde percutane transluminale coronair-angioplastiek. Hart Bulletin 1985; 16:105-10. Geuskens R, Umans VA, de Feyter P, van den Brand M, Haalebos M, Serruys PW. Coronaire bypass-chirurgie na een niet-geslaagde percutane transluminale coronair-angioplastiek. Hart Bulletin 1985; 16:105-10.
go back to reference Sigwart U, Puel J, Mirkovitch V, Joffre F, Kappenberger L. Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N Engl J Med 1987; 316:701-6. Sigwart U, Puel J, Mirkovitch V, Joffre F, Kappenberger L. Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N Engl J Med 1987; 316:701-6.
go back to reference Zijlstra F, de Boer MJ. Surgical interventions in acute myocardial infarction. Ned Tijdschr Geneeskd 1996; 140:1933-5. Zijlstra F, de Boer MJ. Surgical interventions in acute myocardial infarction. Ned Tijdschr Geneeskd 1996; 140:1933-5.
go back to reference Seshadri N, Whitlow PL, Acharya N, Houghtaling P, Blackstone EH, Ellis SG. Emergency coronary artery bypass surgery in the contemporary percutaneous coronary intervention era. Circulation 2002; 106:2346-50. Seshadri N, Whitlow PL, Acharya N, Houghtaling P, Blackstone EH, Ellis SG. Emergency coronary artery bypass surgery in the contemporary percutaneous coronary intervention era. Circulation 2002; 106:2346-50.
go back to reference Yang EH, Gumina RJ, Lennon RJ, Holmes DR Jr, Rihal CS, Singh M. Emergency coronary artery bypass surgery for percutaneous coronary interventions. Changes in the incidence, clinical characteristics and indications from 1979 to 2003. J Am Coll Cardiol 2005: 46:2004-9. Yang EH, Gumina RJ, Lennon RJ, Holmes DR Jr, Rihal CS, Singh M. Emergency coronary artery bypass surgery for percutaneous coronary interventions. Changes in the incidence, clinical characteristics and indications from 1979 to 2003. J Am Coll Cardiol 2005: 46:2004-9.
go back to reference Wharton TP Jr, Grines LL, Turco MA, Johnston JD, Souther J, Lew DC, et al. Primary angioplasty in acute myocardial infarction at hospitals with no surgery on-site versus transfer to surgical centres for primary angioplasty. J Am Coll Cardiol 2004; 43:1943-50. Wharton TP Jr, Grines LL, Turco MA, Johnston JD, Souther J, Lew DC, et al. Primary angioplasty in acute myocardial infarction at hospitals with no surgery on-site versus transfer to surgical centres for primary angioplasty. J Am Coll Cardiol 2004; 43:1943-50.
go back to reference Ting HH, Raveendran G, Lennon RJ, Long KH, Singh M, Wood DL, et al. A total of 1007 percutaneous coronary interventions without onsite cardiac surgery. J Am Coll Cardiol 2006; 47:1713-21. Ting HH, Raveendran G, Lennon RJ, Long KH, Singh M, Wood DL, et al. A total of 1007 percutaneous coronary interventions without onsite cardiac surgery. J Am Coll Cardiol 2006; 47:1713-21.
go back to reference Erbel R, Engel HJ, Kübler, Meinertz WT, Neuhaus KT, Sauer G, et al. Ewen Richtlinien der interventionellen Koronartherapie: herausgegeben vom Vorstand der Deutschen Gesellschaft für Kardiologie - Herz- und Kreislaufforschung. Z Kardiol 1997; 86: 1040-63. Erbel R, Engel HJ, Kübler, Meinertz WT, Neuhaus KT, Sauer G, et al. Ewen Richtlinien der interventionellen Koronartherapie: herausgegeben vom Vorstand der Deutschen Gesellschaft für Kardiologie - Herz- und Kreislaufforschung. Z Kardiol 1997; 86: 1040-63.
go back to reference Le Tourneau T, Blanchard D, Lablanche JM, Monassier JP, Morice MC, Cribier A, et al. Evolution of interventional cardiology in France during the last decade (1991-2000). Arch Mal Coeur Vaiss 2002; 95:1188-94. Le Tourneau T, Blanchard D, Lablanche JM, Monassier JP, Morice MC, Cribier A, et al. Evolution of interventional cardiology in France during the last decade (1991-2000). Arch Mal Coeur Vaiss 2002; 95:1188-94.
go back to reference Meyer P, Barragan P, Blanchard D, Chevalier B, Commeau P, Danchin N, et al. Recommendations of the French Cardiac Society concerning the education of physicians performing coronarography and angioplasty, organization and equipment of coronarography and coronary angioplasty centres. Arch Mal Coeur Vaiss 2000; 93: 147-58. Meyer P, Barragan P, Blanchard D, Chevalier B, Commeau P, Danchin N, et al. Recommendations of the French Cardiac Society concerning the education of physicians performing coronarography and angioplasty, organization and equipment of coronarography and coronary angioplasty centres. Arch Mal Coeur Vaiss 2000; 93: 147-58.
go back to reference Parker DJ, Gray HH, Balcon R, Birkhead JS, Boyle RM, Hutton I, et al. Planning for coronary angioplasty: guidelines for training and continuing competence. British Cardiac Society (BCS) and British Cardiovascular Intervention Society (BCIS) working group on interventional cardiology. Heart 1996; 75:419-25. Parker DJ, Gray HH, Balcon R, Birkhead JS, Boyle RM, Hutton I, et al. Planning for coronary angioplasty: guidelines for training and continuing competence. British Cardiac Society (BCS) and British Cardiovascular Intervention Society (BCIS) working group on interventional cardiology. Heart 1996; 75:419-25.
go back to reference Wennberg DE, Lucas FL, Siewers AE, Kellet MA, Malenka DJ. Outcomes of percutaneous coronary interventions performed at centres without and with onsite coronary artery bypass graft surgery. JAMA 2004; 292:1961-8. Wennberg DE, Lucas FL, Siewers AE, Kellet MA, Malenka DJ. Outcomes of percutaneous coronary interventions performed at centres without and with onsite coronary artery bypass graft surgery. JAMA 2004; 292:1961-8.
go back to reference McGrath PD. Relation between operator and hospital volume and outcomes following percutaneous coronary interventions in the era of the coronary stent. JAMA 2000; 284:3139-44. McGrath PD. Relation between operator and hospital volume and outcomes following percutaneous coronary interventions in the era of the coronary stent. JAMA 2000; 284:3139-44.
go back to reference Epstein A. Hospital percutaneous coronary intervention volume and patient mortality, 1998 to 2000: does the evidence support current procedure volume minimums? J Am Coll Cardiol 2004; 43: 1755-62. Epstein A. Hospital percutaneous coronary intervention volume and patient mortality, 1998 to 2000: does the evidence support current procedure volume minimums? J Am Coll Cardiol 2004; 43: 1755-62.
go back to reference Magid D. Relation between hospital primary angioplasty volume and mortality for patients with acute MI treated with primary angioplasty vs thrombolytic therapy. JAMA 2000: 284:3131-8. Magid D. Relation between hospital primary angioplasty volume and mortality for patients with acute MI treated with primary angioplasty vs thrombolytic therapy. JAMA 2000: 284:3131-8.
go back to reference Hannan EL, Wu C, Walford G, King SB 3rd, Holmes DR Jr, Ambrose JA, et al. Volume-Outcome Relationships for Percutaneous Coronary Interventions in the Stent Era. Circulation 2005; 112:1171-9. Hannan EL, Wu C, Walford G, King SB 3rd, Holmes DR Jr, Ambrose JA, et al. Volume-Outcome Relationships for Percutaneous Coronary Interventions in the Stent Era. Circulation 2005; 112:1171-9.
go back to reference Morice MC, Spaulding C, Lancelin N, El Hadda S. Does Hospital PTCA volume influence mortality and complication rates in the era of PTCA with systematic stenting: the results of the greater Paris area PTCA registry. JACC 2006: 21(supplI);192A. Morice MC, Spaulding C, Lancelin N, El Hadda S. Does Hospital PTCA volume influence mortality and complication rates in the era of PTCA with systematic stenting: the results of the greater Paris area PTCA registry. JACC 2006: 21(supplI);192A.
go back to reference Ellis SG, Weintraub W, Holmes D, Shaw R, Block PC, King SB 3rd. Relation of operator volume and experience to procedural outcome of percutaneous coronary revascularization at hospitals with high interventional volumes. Circulation 1997; 95:2479-84. Ellis SG, Weintraub W, Holmes D, Shaw R, Block PC, King SB 3rd. Relation of operator volume and experience to procedural outcome of percutaneous coronary revascularization at hospitals with high interventional volumes. Circulation 1997; 95:2479-84.
Metagegevens
Titel
Emergency cardiac surgery after a failed percutaneous coronary intervention in an interventional centre without on-site cardiac surgery
Auteurs
J. S. Lemkes
J. O. J. Peels
R. Huybregts
H. de Swart
R. Hautvast
V. A. W. M. Umans
Publicatiedatum
01-05-2007
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 5/2007
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/BF03085976

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